CPC Processor – Remote ROI

Overview

Who we are…

Datavant protects, connects, and delivers the world’s health data to power better decisions and advance human health. Datavant is a data platform company for healthcare whose products and solutions enable organizations to move and connect data securely. Datavant has a network of networks consisting of thousands of organizations, more than 70,000 hospitals and clinics, 70% of the 100 largest health systems, and an ecosystem of 500+ real-world data partners.

What we offer…

By joining Datavant today, you’re stepping onto a highly collaborative, remote-first team that is passionate about creating transformative change in healthcare. We invest in our people and believe in hiring for high-potential and humble individuals who can rapidly grow their responsibilities as the company scales. Datavant is a distributed, remote-first team, and we empower Datavanters to shape their working environment in a way that suits their needs. 

What we need…

Under the direction of the Area Manager/ROI Site Manager and the general instruction of the CPC Management Team, the CPC Processor – Remote ROI is responsible first for the duties and responsibilities of the position for the site they are assigned. Secondary responsibility will fall to the overall duties of the CPC Processor I. The CPC Processor – Remote ROI performs slightly more complex tasks in the Central Processing Center (CPC).

Responsibilities

• Maintains confidentiality by keeping all information seen and heard in the facility in the strictest confidence.
• Maintains productivity, quality and assures customer service standards.
• Answers and conducts business via email routinely while maintaining excellent customer service skills.
• Authorizing Process:
• Reviews the requests to determine which records are being requested.
• Data enters valid and invalid authorizations and requests.
• Returns invalid authorizations and requests to the requester.
• Validates authorizations for accuracy.
• Reviews the requests to determine which records are being requested.
• Requests charts via Record Center if needed
• Copying Process:
• Scans the medical record and chooses the appropriate information to be photocopied, if so directed.
• Copies the appropriate pages for the requested records, if so directed.
• Re-assembles the charts (files) for re-filing.
• Logs information that is being sent to the requester either manually or using company software in accordance with the facility procedure.
• Documents the release of information in the patient medical record or other means determined by the facility.
• Quality Assurance and Billing Process
• Provides quality assurance of medical records.
• Calculates the amount to be billed to the requester and prepares the invoice.
• Certifies the copies of medical records when requested, if so directed.
• Prepares copies for printing and mailing.

Qualifications

• A High School Diploma or GED equivalent is required.
• Must be able to communicate (both verbal and written) effectively in the English language.
• Experience in a medical records or health care setting would be beneficial.
• Medical Terminology class is strongly encouraged.
• Required to take and pass a 90-day ROI Certification course with a score of 85% or higher.
• Passing annual Introductory HIPAA examination. (Testing to be given annually in accordance with employee review.)

To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.

For remote work, this position requires that you provide a high-speed internet connection, subject to applicable expense reimbursement requirements (if any), and a work environment free from distractions.

With very limited exceptions (medical conditions or sincerely held religious beliefs that prohibit you from getting the vaccine), one of the requirements for this job is that you be fully vaccinated against COVID-19. *Except for states where legally prohibited to enforce mandates.

Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

This job is not eligible for employment sponsorship.

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